Welcome to the HealthPRO® Heritage Blog

The New PDPM Paradigm: Nursing in the Limelight

Posted on: December 3, 2018

The tide is turning! Imagine a world where revenue is not based on managing therapy treatment minutes, but will be aligned to care delivery. PDPM will set reimbursement based on patients’ clinical profiles, as captured within various coding and assessment scoring factors from the interdisciplinary team (IDT).

This fundamental change will rely on input from all clinical team members, however, nursing and MDS will be under exponential pressure to understand the nuances of PDPM, document and code accurately, and communicate effectively. In the “Brave New World of PDPM”, there are huge financial implications for anything less than thorough and flawless documentation and coding.

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Tags: Patient-Driven Payment Model, PDPM, Payment Reform

Which PDPM Therapy Pricing Method is Best?

Posted on: October 22, 2018

Since the RCS-1 Proposed Rule was released in Spring 2017, through the PDPM Final Rule and up to today, we’ve spent hundreds of hours thinking and pressure testing different ideas. We’ve had ongoing conversations with customers, colleagues, and consultants about PDPM therapy pricing. Our goal was simple: Develop a pricing approach which equally addresses and ensures the success of our patients, customers, and employees under PDPM. 

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Tags: PDPM, Patient-Driven Payment Model, CMS Update 2018, Payment Reform

Do You Know How Much Rehab Your Facility Can Afford Under PDPM?

Posted on: October 11, 2018

Step one to ensuring your facility delivers positive patient outcomes, maintains regulatory compliance, and achieves financial viability in the New PDPM World is to perform a RUGs-to-PDPM Crosswalk on all your patients.

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Tags: PDPM, Patient-Driven Payment Model, CMS Update 2018, Payment Reform

PDPM: Go Big or Go Home

Posted on: October 1, 2018

With exactly one year to go, how will you prepare for PDPM? 

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Tags: PDPM, Patient-Driven Payment Model, Payment Reform, CMS Update 2018

What are the "Do's and Don'ts" for PDPM Success?

Posted on: August 24, 2018

HealthPRO® Heritage Announces Our Top 10 “Do” List for PDPM Success

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Tags: PDPM, Patient-Driven Payment Model, Payment Reform, CMS Update 2018

What is the Key to Successfully Navigating the PDPM Transition?

Posted on: August 15, 2018

With only 14 months to prepare for the industry’s biggest change in 20 years, HealthPRO® Heritage offers this advice:  Don’t be overwhelmed by the complexities of PDPM.  Instead: 

PREPARE. EXECUTE. SUCCEED. 

To successfully navigate the transition to PDPM, providers can focus TODAY on developing & honing very specific core competencies without impacting their performance under the current RUGS.    

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Tags: PDPM, Patient-Driven Payment Model, CMS Update 2018, Payment Reform

Final Rule Released: Game On

Posted on: August 1, 2018

Final Rule Indicates PDPM Transition is “A Go!”
No Significant Changes

According to CMS’ Final Rule released July 31, PDPM (Patient-Driven Payment Model) will replace the current RUG-IV system – as originally proposed – on October 1, 2019.

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Tags: Patient-Driven Payment Model, PDPM, Section GG, Payment Reform, CMS Update 2018

Introducing HealthPRO® Heritage's new weekly blog series: "QUESTIONS WORTH ASKING"

Posted on: July 31, 2018

You work hard: To stay on top of your game in an industry wrought with complexity, change and challenges.

You ask: What questions should you be asking your team? What questions should you be asking yourself? What are the key success drivers for 2018 and beyond?

You wonder: Can a blog offer you valuable intel related to the future of your community? Yes! Check in every week for ideas to jump-start strategic thinking in areas that drive success now and into the future:

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Tags: PDPM, Patient-Driven Payment Model, Payment Reform, CMS Update 2018, Update, Care Continuum

A Surefire Way to Increase Audits Under PDPM

Posted on: July 3, 2018

The number one question we receive regarding the new payment model, the Patient-Driven Payment Model or PDPM is, “Will we be paid for the therapy component even if therapy is not actively treating the resident?” The answer is YES!

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Tags: PDPM, Patient-Driven Payment Model, CMS Update 2018, Payment Reform

Make The Choice To Prepare

Posted on: February 16, 2018

Our ongoing efforts to prepare for payment reform has led HealthPRO/Heritage to develop the industry’s most informative RUGS to RCS-1 reimbursement crosswalk, allowing providers to see both patient and enterprise level reimbursement impacts and identify specific areas of risk and opportunity. This will help establish strategic processes for operational changes that minimize risks and help providers successfully navigate this fundamental payment shift.

We encourage providers to:

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Tags: CMS Update 2018, RCS-1, Payment Reform, CMS